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Self-Treatment of Pain from Muscles-1 K Point Syndrome: Muscles of the K Point Group on one or both sides are stiff (myogelosis). One or several of them present pain and cause resultant functional disturbances. Symptoms: asthenopia, temporal pain, jaw pain, neck pain or tightness, frozen shoulder, side chest pain, acute or chronic low back pain, bottom pain, groin pain, leg pain, hand and/or foot numbness, etc Conventional Diagnosis: spondylosis, repetitive stress syndrome, VDT syndrome, post-whiplash syndrome, TMD, thoracic outlet syndrome, periarthritis scapulohumeralis, intercostal neuralgia, piriformis syndrome, myofascial pain, fibromyalgia, neuropathic pain, etc K Point Muscle Group: Pain in Locomotive System: It consists of ca. 40 muscles shown below. They synchronously react to K Point block or stretch of the long head of the triceps brachii or the gracilis on the same side and normalize their tone. Most pain of unknown origin (non-specific) derives from muscles. As there has been no systemic physical examination, it tends to be misdiagnosed as being caused by abnormalities of the spine, joints, nerve or mental status. Unnecessary surgeries are often recommended. Orbicularis oculi Temporalis Long head, Triceps brachii Masseter CO head, SCM K Point Infraspinatus Pain from Muscles Pec major Obliquus ext abdom >85% Brachioradialis Pronator quad Specific Protean Presentation No Systematic Physical Exam Sartorius Misdiagnosis & Unnecessary Surgeries Latissimus dorsi Serratus ant Abd PB & DM Tensor fasciae latae Adductor longus Teres minor Vastus med & lat Gracilis EHL, EDL Peroneus longus EHB, EDB Interossei Bouquet Toss Stretch (LH Triceps Brachii) Self-Evaluation: Interossei Lower GMax Long head, Biceps femoris Lateral head, Gastrocnemius Semitendinosus Abd H & DM FHB, FDB Know the condition of K Point Group as often as possible every day. Biceps Brachii Raise the arms up as high as possible. Quickly bend the elbow fully. Bilateral stretch has bilateral effects. Long Head of Triceps Brachii Pull a muscle bulk on the back of the arm with the finger tips. Muscles which are soft, when they relax, never cause pain. Charlie Chaplin Stretch (Gracilis) Pinch the bulk. It is felt stiff like a rope. When a pain is caused by a squeeze, do either of the two muscle stretches shown on the left side immediately. or Turn the feet out 45º each and slightly bend the knees. Bring the knees close. Do it 3 times. The same effects in the sitting position. Long Head of Triceps Brachii Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan Self-Treatment of Pain from Muscles-2 Individually Independent Muscles: 30 muscles found so far Each muscle causing pain needs to be stretched as often as possible. Characteristics: Each muscle becomes solid independently. Pain is not always felt over the responsible muscle. SM head, SCM Long & Short heads, Biceps brachii Scalenus medius Upper trapezius Middle trapezius Anterior deltoid Pectineus Rectus femoris None of K Point block or bouquet loss or Charlie Chaplin stretch is effective. Splenius capitis Levator scapulae Posterior deltoid ECRB Quadratus lumborum ECU ECRL Adductor pollicis Occipitalis Teres major Lower trapezius Rectus abdominis Treatment: Supreme trapezius Upper gluteus maximus Short head, Biceps femoris Peroneus brevis Soleus Gluteus medius Semimembranosus Medial Head, Gastrocnemius Adductor hallucis Local anesthetic block to and self-stretch of the muscle causing pain are effective. 3 successive quick stretches are counted as 1 unit. When quick bending of the cervical spine may damage the spinal cord, a 30-second static stretch instead is counted as 1 unit. For SM Head of the sternocleidomastoid, acupressure under the mastoid process is an easier way. 1. SM Head, SCM Acupressure Stretch Mastoid Process SM Head or Acupressure Dizziness, Feeling of stuck throat, Pain in the head behind the ear to the chest, Difficulty in neck rotation or extension, Straight neck or drop head The muscle stretched Painful Side Press the most painful point just under the bony projection behind the earlobe for 30 secs. 2. Scalenus Medius Turn the neck to the painful side. Extend the neck and hold the posture for 30 secs. Stretch Pain behind the ear The muscle stretched Painful Side Pain at the side of the neck may spread beyond the clavicle Tilt the head opposite to and turn it toward the painful side. Hold the posture for 30 secs after the maximal turn. Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan Self-Treatment of Pain from Muscles-3 Individually Independent Muscles: Each muscle causing pain needs to be stretched as often as possible. 3. Supreme Trapezius Stretch Supreme Trapezius The muscle stretched Pain Extend the neck and turn it to the painful side. Raise the shoulder . Supreme Trapezius 4. Upper Trapezius Keeping the neck position, drop the shoulder. Do it 3 times. Stretch Upper Trapezius Pain or tightness The muscle stretched Painful Side Hold the posture for 30 secs after the maximal turn. Tilt the head opposite to and turn it toward the painful side. 5. Middle Trapezius Middle Trapezius Stretch Upper interscapular pain The muscle stretched Painful Side Pull the arm down diagonally. Do it 3 times. 6. Lower Trapezius Stretch Pain, esp., while lying on the back or The muscle stretched Lower Trapezius Pull the arm up to the opposite side and twist the upper trunk. Hold the stretch for 30 secs. Sit with the legs spread, bend the trunk with the hands reaching the opposite ankles and hold for 30 secs. Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan Self-Treatment of Pain from Muscles-4 Individually Independent Muscles: Stretch each muscle causing pain as often as possible. 7. Splenius Capitis Stretch Nape pain The muscle stretched Painful Side Bend the neck. Tilt and turn the head opposite to the painful side. 8. Levator Scapulae Hold the posture for 30 secs after the maximal turn. Stretch Nape and/or upper back pain The muscle stretched Painful Side Bend the neck. Tilt and turn the head opposite to the painful side. 9. Posterior Deltoid Posterior Deltoid Stretch Pain behind the arm, esp. when trying to put the hand over the opposite shoulder or moving the lifted arm toward the ear Painful Side Pull the arm toward the opposite shoulder. Do it 3 times. 10. Anterior Deltoid Anterior Deltoid Hold the posture for 30 secs after the maximal turn. Stretch Pain in front of the arm, esp. at the start of forward arm elevation. Painful Side Put the palm of the painful arm behind the buttock. Pull the hand to the other side. Do it 3 times. Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan